PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI# 1952386369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952386369 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES - WASHINGTON |
| Other Organization Name | PROVIDENCE MOUNT ST VINCENT |
| Practice Address |
4831 35th Ave Sw Seattle WA 98126-2709 |
| Practice Telephone | 2069373700 |
| Practice Fax Number | 2069388999 |
| Mailing Telephone | 2069373700 |
| Mailing Fax Number | 2069388999 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2011-01-06 |
| Authorized Official Name | ROBERT HELLRIGEL (CEO) |
| Authorized Official Telephone | 4252545432 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | BH-198 | WA | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 77 | WA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 41-07702 | 05 |
| Other Name | Type Code |
|---|---|
| PROVIDENCE MOUNT ST VINCENT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407162571 | Providence Health & Services - Washington | Internal Medicine | 510 E Amende Drive, Odessa, WA 99159-0000 | 2010-08-26 |
| 1841503034 | Providence Health & Services - Washington | Family Medicine | 18313 Paulsonst Sw, Suite A, Rochester, WA 98579-9262 | 2010-07-16 |
| 1083947709 | Providence Health & Services - Washington | Hospice Care, Community Based | 2731 Wetmore Ave Ste 500, Everett, WA 98201-3585 | 2009-09-14 |
| 1760636690 | Providence Health & Services - Washington | Neurological Surgery | 301 W Poplar Street, Ste 220, Walla Walla, WA 99362-2800 | 2008-11-05 |
| 1558512368 | Providence Health & Services - Washington | Home Health | 209 W Poplar St, Walla Walla, WA 99362 | 2008-10-10 |
| 1922259738 | Providence Health & Services - Washington | Internal Medicine | 380 Chase Avenue, Pmg Se Wa, Walla Walla, WA 99362-2924 | 2008-10-10 |
| 1306097126 | Providence Health & Services - Washington | Radiology | 401 W Poplar Street, Pmg Se Wa Imaging, Walla Walla, WA 99362-2846 | 2008-10-10 |
| 1043374119 | Providence Health & Services - Washington | Rehabilitation, Substance Use Disorder Unit | 508 Quarter Eighth Street, Hoquiam, WA 98550 | 2006-12-21 |
| 1073677605 | Providence Health & Services - Washington | Rehabilitation, Substance Use Disorder Unit | 506 W Franklin St, Shelton, WA 98584-3517 | 2006-12-20 |
| 1003906918 | Providence Health & Services - Washington | Home Health | 3432 Bay Rd Ne, Olympia, WA 98506-2958 | 2006-10-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Providence Health & Services - Washington | 1801 Lind Ave. Sw, #9016, Renton, WA 98057 |
| Street Address |
4831 35TH AVE SW |
| City | SEATTLE |
| State | WA |
| Zip Code | 98126-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467972091 | Carley Rissman | Physical Therapist | 4831 35th Ave Sw, Seattle, WA 98126-2709 | 2017-06-24 |
| 1457601932 | Hillary Danielle Richardson | Occupational Therapist | 4831 35th Ave Sw, Seattle, WA 98126-2709 | 2012-09-12 |
| 1366634503 | Sisters of Providence In Washington | Clinic/Center | 4831 35th Ave Sw, Seattle, WA 98126-2709 | 2007-08-13 |
| 1043347933 | Rxtra Care, Inc. | Pharmacy | 4831 35th Ave Sw, Seattle, WA 98126-2709 | 2007-02-27 |
| 1174661805 | Micheal Henry | Pharmacist | 4831 35th Ave Sw, Seattle, WA 98126-2709 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926341 | Andre L Cherry | Counselor | Navos - West Seattle, 2600 Sw Holden St, Seattle, WA 98126 | 2019-11-07 |
| 1477071314 | Hailey Justine Long | Registered Nurse | 5444 29th Ave Sw, Seattle, WA 98126 | 2017-08-30 |
| 1952824153 | Margaret Jane Oliver | Behavior Technician | 7942 29th Ave Sw, Seattle, WA 98126 | 2017-07-19 |
| 1538610282 | Kathleen Unterreiner Licsw | Community/Behavioral Health | 3261 Sw Avalon Way, Apt 411, Seattle, WA 98126 | 2016-10-18 |
| 1689123507 | Omotade Adeola Mallum | Occupational Therapy Assistant | 9408 35th Ave Sw, Unit B, Seattle, WA 98126 | 2016-10-04 |
| 1598211732 | Christopher Shawn Osler | Physical Therapy Assistant | 7346 32nd Ave Sw, Seattle, WA 98126 | 2016-08-28 |
| 1871989368 | Sara Lynne Smith | Counselor | 5225 35th Avenue South West, Seattle, WA 98126 | 2015-04-10 |
| 1689083032 | Kristine Ellyn Highlander | Nurse Practitioner | 2600 Sw Holden St., Navos Inpatient Services, Seattle, WA 98126 | 2014-08-11 |
| 1346657814 | Buu Bui | Family Medicine | 4550 Fauntleroy Way Sw # Ms 206-01, Seattle, WA 98126 | 2014-07-16 |
| 1598015950 | Kimberly Pendergrass | Social Worker | 2600 S. W. Holden Street, Seattle, WA 98126 | 2012-09-13 |
| Find all providers in zip 98126 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336431618 | Htl Interprises, LLC | Skilled Nursing Facility | 9619 15th Ave Nw, Seattle, WA 98117-2313 | 2011-05-05 |
| 1417111733 | Marybeth Sabine | Skilled Nursing Facility | 3634 Linden Ave N, Seattle, WA 98103-8705 | 2008-07-16 |
| 1710907233 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 16357 Aurora Ave N, Seattle, WA 98133-5651 | 2006-07-20 |
| 1386691467 | Sea Mar Skilled Nursing Facility | Skilled Nursing Facility | 1040 S Henderson St, Seattle, WA 98108-4720 | 2006-05-27 |
| 1710933999 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 820 Nw 95th St, Seattle, WA 98117-2207 | 2006-05-26 |
| 1386699932 | West Seattle Operations, LLC | Skilled Nursing Facility | 4700 Sw Admiral Way, Seattle, WA 98116-2316 | 2006-05-23 |
| 1932157641 | Evergreen Washington Healthcare Greenwood, L.L.C. | Skilled Nursing Facility | 13333 Greenwood Ave N, Seattle, WA 98133-7312 | 2006-05-05 |
| 1619934999 | The Kenney | Skilled Nursing Facility | 7125 Fauntleroy Way Sw, Seattle, WA 98136-2008 | 2006-04-28 |
| 1205811585 | Northwest Care-west Seattle, Inc. | Skilled Nursing Facility | 1703 California Ave Sw, Seattle, WA 98116-1902 | 2005-12-09 |
| 1528059094 | Bayview Manor Homes | Skilled Nursing Facility | 11 W Aloha St, Seattle, WA 98119-3743 | 2005-11-02 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.